Design, Development And Clinical Testing

The incentive spirometer is a medical plastic device that allows you when taking deep breath and exhaling, it expands your lungs. It consists of a mouthpiece, a flexible tubing, a piston, a breathing coach indicator, a yellow indicator and a barrel. It uses to assist patient after surgery or any person who want to improve their lungs function especially patient or any person who is restricted to be in bed for many days. It fortifies and exercises lungs and keeps them pure and dynamic. It helps with lung expansion after taking steady deep

There are 9 types of health care facilities that are accredited by the Joint Commission. The Ambulatory Health Care accreditation, encompassing organizations and facilities that provide outpatient services of medical/dental nature as well as diagnostic, surgical, and therapeutic services. Other types of facilities that are accredited are critical access hospitals, hospitals, laboratories, office-based surgical centers, and nursing care centers. There is also Home Care services, the Opioid Treatment Program, and the Behavioral Health Care Program. Critical Access Hospitals meet special requirements regarding patient beds and LOS. Hospitals that are accredited include general and specialty hospitals.

A clinical microsystem is a “small, interdependent group of people who work together regularly to provide care for specific groups of patients” (Institute for Healthcare Improvement, p.1). It is the goal of this paper to discuss the findings of the Johnson Clinical Microsystem Assessment Tool to the microsystem where I am employed on-call, the Multnomah County Health Department (MCHD), HIV Health Service Center (HSC), a primary medical home for patients with HIV/AIDS. Additionally, I will address each of the 5 P’s of the microsystem; purpose, patients, professionals, procedures and patterns that will then inform a practice change for the clinic.

Patients had to measure their IC by using an incentive spirometer to measure static lung values. They performed this test for 20 minutes after inhaling 400 mg of salbutamol via a nebulizer. The patients were asked to use the FVC spirometer and told to take a deep breath and then to let the breath out passively. They were then asked to do the same maneuver 2 more times, but the closeness made the study choose the first attempt.

The spirometer used within this service is the Micro Lab Spirometer; we use a 3Litre syringe to calibrate the device prior to each clinic or start of the working day.

An incentive spirometer is a device that our patients use to improve the function of their lungs. This main underlying principle is that breathing can be exercised to train the expansion of lungs capacity (Potter, Perry, Stockert, & Hall, 2013). Patients who qualify for this intervention include those who have recently had a surgery, were under anesthesia, or have been placed on bed rest. Our main concern here is that these situations create opportunity for less activity within the lungs, which can put the patient at risk for pneumonia.

Patients with COPD become short of breath, hyperventilate and become very tired by using all efforts on respiratory and axillary muscles in order to breath and effects their activity of daily living such as walking up the stairs, putting on socks/shoes. On physical assessment, patient would be observed the appearance of the thoracic cage, for any deformity, an inadequate chest expansion and auscultation for adventitious sounds. Patients with COPD are often diagnosed with emphysema, where alveoli of the lungs damaged and these damaged tiny sacs cannot be seen directly in physical exam. There are diagnostic tests would be necessary to perform such as CT or X-ray scans of the chest. Additional tests would be performed to measure pulmonary function test, arterial blood gases and sputum collection if necessary to determine any bacteria growth in respiratory

According to FDA.gov 2009, the definition of recalls is, an action taken by a company to remove a product from shelves. There are three classes of recalls and two other types of recalls mentioned on FDA.gov. Class I recall involves a situation in which there is a probability that the use of or exposure to a product will cause adverse health effects or death. (FDA, 2009) Class II recall involves a situation in which use of or exposure to a product can cause temporary or medically reversible adverse health consequences or where the probability of serious adverse health effects is remote. (FDA, 2009) Class III recall involves a situation in which use of or exposure to a product is not likely to cause adverse health consequences. (FDA, 2009) Market

Helps reduce stasis of secretions in the lungs and the bronchial tree. When stasis occurs, pathogens can cause upper respiratory tract infections and pneumonia. The incentive spirometer aids to prevent atelectasis of the alveoli.

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is a system that is used by physicians, and health providers to classify and code all diagnoses, symptoms, and procedures. This system consists of about 68,000 codes, compared to the ICD-9-CM which has only about 13,000 codes. These codes are used to be able to bill patients’ medical insurances. Since there are more codes in the ICD-10-CM there will most likely be less claims. And medical insurance providers will have a clearer understanding of what they are being billed for. Since there are more codes for diagnoses. To prepare for ICD-10-CM, I’m glad I have all my books for reference whenever I may need it. And what knowledge I receive from this class

The prevalence of asthma has steadily grown in both the US and world populations, and continues to do so. In the US alone, 25 million people were diagnosed with asthma by 2010 (CDC, 2013). In turn, the need to accurately assess the functionality of a patient’s lung capacity is an essential step to begin diagnosis and treatment of their condition. This paper examines the mechanical peak flow meter, which was crafted for assessing lung function capacity in asthmatic patients. In addition, comparing the advantages and disadvantages of usage of the peak flow meter, as well as the proper usage. Among the various instruments used to assess a patient’s lung capacity, the mechanical peak flow meter is the most widely used and among one of the most precise measurement tools (CDC, 2013).

The information collected in the history was highly suggestive of COPD. One of the best predictors of airflow obstruction was the patient’s smoking history (Qaseem, et al., 2011, pp. 181). According to Qaseem, et al. (2011), the presence of the patient’s smoking history and wheezing on physical examination is indicative of airflow obstruction (pp. 181). Additionally, the patient’s presenting complaint was dyspnea on exertion, which is one of the most commonly presenting complaints in patients with COPD (Boardman, 2013, pp. 446). The chronic nature of the patient’s cough and slow progression of symptoms are consistent with a diagnosis of COPD rather than asthma. Finally, the diminished breath sounds on auscultation is indicative of airflow obstruction and considered to be a reliable finding in the diagnosis of COPD (Boardman, 2013, pp. 447). In addition to the new diagnosis of COPD, the patient also had current diagnoses of hypertension, hyperlipidemia, and osteoarthritis.

For many years, military men and women have died due to a gunshot. The problem is, men and women could have lived if it was not for the amount of blood loss. The United States loses so many of our military men and women every day to bullets; a number of lives lost does not stop with war. The United States has had over two hundred school shootings since 2013, which averages to about one shooting a week. Imagine, the families that had to bury their child or children over a bullet? There are horrible incidents where kids have found their father’s gun and have played with the gun thinking it was a toy. Within seconds of time, the child has either A) blasted themselves or B) shot the other sibling or friend that was playing with them. Every single

Exercise 7: Respiratory System Mechanics: Activity 2: Comparative Spirometry Lab Report Pre-lab Quiz Results You scored 100% by answering 5 out of 5 questions correctly. 1. A normal resting tidal volume is expected to be around You correctly answered: d. 500 ml. 2. Which respiratory process is impaired the most by emphysema? You correctly answered: c. expiration 3. During an asthma attack You correctly answered: b. inspiration and expiration are impaired. 4. During moderate aerobic exercise, which respiratory variable increases the most? You correctly answered: a. tidal volume 5. Inhaler medications for an asthma patient are designed to You correctly answered: b. dilate the patient's bronchioles.

Spirometry is the most popular lung function test. The patient performs a maximal inhalation and then forcefully exhales as quickly and as long as they are able. The spirometer measures the volume of the air exhaled by patients. These measurements are taken at two intervals. The first measurement is the forced expiratory volume in one second (FEV1), records the volume of air exhaled after one second. The second measurement is taken at the point where the patient has fully exhaled the volume of inhaled air; this measurement is the forced vital capacity (FVC) (Harpreet Ranu et al.,